NR 661Cardiovascular Questions And Answers Rated A+ New Update Assured Satisfaction

NR 661 Cardiovascular A 25 year old patient has aortic stenosis (AS). The etiology of his AS is probably: a. congenital b. rheumatic c. acquired clacific d. unknown - a. congenital A 28 year old has a grade 3 murmur. Which characteristic indicates a need for a referral a. a fixed split b. an increase in splitting with aspiration c. a split S2 with inspiration d. changes in intensity with position change - a. a fixed split A 40 year old african american patient has blood pressure readings of 175/100 and 170/102. What is a reasonable plan of care for this patient today? a. start 12.5mg Hydrochlorothiazide daily (usual dose 12.5 -50mg daily) b. start 10 mg Lisinopril daily (usual dose 10 -40 mg daily) c. initiate 5 mg amlodipine daily (usual dose 5 -10mg daily) d. initiate 5 mg amlodipine and 10 mg lisinopril daily - c. initiate 5 mg amlodipine daily (usual dose 5-10mg daily) A 42 year old hypertensive patient was given a thiazide diruetic 4 weeks ago for treatment of primary hypertension. On his return visit today, he reports feeling weak and tired. What should the NP consider to evaluate the weakness and fatigue? a. glucose level b. potassium level c. cbc d. tsh - b. potassium level A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point. There is no audible click. His status has been monitored for the past 2 years. This murmur is probably: a. mitral valve prolapse b. acute mitral regurgitation c. chronic mitral regurgitation d. mitral stenosis - d. mitral stenosis A 50 year old patient with Hypertension has taken hydrochlorozide 25 mg daily for the past 4 weeks. How should the nurse practitioner proceed? BP -155/95; 145/90 a. wait 4 weeks before making a dosage change b. increase the hydrochlorothiazide to 50mg daily c. add a drug from another class to the daily 25 mg hydrochlorothiazide d. stop the hydrochlorothiazide and start a drug from a different class - c. add a drug from another class to the daily 25 mg hydrochlorothiazide A 55 year old male is obese, does not exercise and has hyperlipidemia. His average blood pressure is 150/90. How should he be managed today? a. he should be given a low dose thiazide diuretic b. an ACE inhibitor is appropriate c. Lifestyle modifications are appropriate d. He should receive an ACE inhibitor and thiazide diuretic - c. Lifestyle modifications are appropriate A 64 year old male has been your patient for several years. He is a former smoker. He presents to your clinic with complaints of fatigue and "just not feeling well" for the last few days. His exam is normal. His blood pressure is well controlled. His medic ations include: Ramipril 5mg po daily, Simvistatin 20mg daily, ASA 81mg po daily. Total cholesterol=158, LDL=76, HDL=55 and Triglycerides=114. BP= 130/72 HR 65, RR=18, Temp= 98.1. What should be done next? a. order a CBC and consider waiting a few days if normal b. inquire about feelings of depression and hopelessness c. order a CBC, metabolic panel, TSH and urinalysis d. Order B12 level, TSH, CBC and chest xray - c. order a CBC, metabolic panel, TSH and urinalysis A 65 year old male patient has the following lipid levels TC=240; LDL=140; HDL=35 Triglycerides= 129. What class of medications is preferred to normalize his lipid levels and reduce his risk of a cardiac event? a. Niacin b. Fibric acids c. HMG CoA reductase inhibitors d. Bile acid sequestrants - c. HMG CoA reductase inhibitors A 74 year old patient has peripheral artery disease (PAD). Which item listed below is an important nonmodifiable risk factor for PAD? a. cigarette smoking b. hyperlipidemia c. diabetes d. alcohol consumption - c. diabetes A 74 year old who has retired as a store clerk last year wold like to start an exercise program. She tells the NP that she would like to start walking 15 -20 minutes daily. Which statement is correct regarding the patient? a. she should have a stress test prior to initiating a walking program b. she should have an EKG preformed in the clinic today c. she does not need any testing because she is asymptomatic d. she should have labs and EKG prior to starting - c. she does not need any testing because she is asymptomatic A 75 year old has isolated systolic hypertension. She started on amlodipine 4 weeks ago. She states that since then, she has developed urinary incontinence. What is the NP's assessment? a. this is unrelated to her new medication b. this is coincidental c. she may have underlying urinary tract pathology d. it is probably related to amlodipine - d. it is probably related to amlodipine A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. The NP replies: a. palpitations and weakness b. ventricular arrythmias c. shortness of breath and syncope d. fatigue and exercise intolerance - c. shortness of breath and syncope A 75 year old patient with longstanding hypertension takes a combined ACE inhibitor/thiazide diruetic and amlodipine daily. Today his diastolic blood pressure and heart rate is elevated. He has developed dyspnea on exertion and peripheral edema over the pa st several days. These symptoms likely demonstrate: a. primary renal dysfunction b. development of heart failure c. renal insufficiency d. dietary indiscretion - b. development of heart failure